South Carolina Court of Appeals Rejects Pre-Impact Fear Recovery

Personal representatives in South Carolina cannot recover damages for those last few seconds of life when their decedent knew for a fact that they would die. Last week, the South Carolina Court of Appeals rejected a Plaintiff’s ability to recover damages for “pre-impact fear.” See Rutland v. South Carolina Dep’t of Transp., No. 4721 (S.C. Aug. 4, 2010).

That case involved a wrongful death action brought by the personal representative of the estate of a passenger killed following a highway automobile accident during a heavy rain storm. The Plaintiff sued various defendants, but all but the Department of Transportation settled out before the trial. (It’s unclear from the facts of the opinion what the Plaintiff’s theory of recovery was against the State.). The jury awarded the Plaintiff $300,000, but the trial court granted the Department’s post trial motion for set-off and reduced the verdict to zero.

The Plaintiff appealed. In its opinion, the Court of Appeals addressed various appellate points, but it is the Plaintiff’s second appellate point that is of interest. The Plaintiff had argued that “pre-impact” fear was recoverable in a South Carolina survival action “when the decedent suffered mental trauma before actual physical injury resulting in the decedent’s death.”

Citing some recent federal authority, and distinguishing an 80 year old case the Plaintiff had invoked in support of his theory, the Court of Appeals disagreed, noting as follows:

South Carolina does not recognize “pre-impact fear” as a compensable cause of action. See Hoskins v. King, 676 F. Supp. 2d 441, 451 (D.S.C. 2009) (concluding South Carolina law does not permit recovery for pre-impact fright). Also, we decline to extend the holding in [Spaugh v. Atlantic Coast Line Railroad. Co., 158 S.C. 25, 155 S.E. 145 (1930)] for the proposition that “pre-impact fear” is recoverable in this State.

In Hoskins, a case involving a cyclist killed after an automobile accident, Judge Joseph F. Anderson, Jr. had found that there was no support in South Carolina law for the recovery of such damages:

However, in addition to seeking the more established post-impact survival damages, Hoskins seeks damages for the split-second between when the rear tire of the bicycle touched the front bumper of the Pacifica and the impact of Thomas Hoskins on the windshield. However, this position does not find support under South Carolina law. Hoskins has cited many cases, from other jurisdictions which recognize recovery for pre-impact fright. In nearly all of these cases the victims knew they were going to die for a period of at least some seconds, not fractions of a second. Moreover, there was evidence in almost all of the cases that the victim saw their ending coming and there was no question that the victim consciously perceived the cause of his or her death-such as a car crashing in to the back of a tractor trailer, an imminent plane crash, or a pedestrian trapped on roadway.

In this case the King’s car closed from the rear at a high rate of speed, causing a tremendous impact-throwing Thomas Hoskins seventy-five feet in the air-and instantly killing him. A survival claim requires that the deceased consciously endure pain and suffering. Due to the severity of the impact, the court finds that the evidence does not demonstrate that the decedent had time to consciously perceive the means of his death, much less consciously suffer pain.

Further, the Court of Appeals had distinguished Hough as a case involving “a woman who became physically ill after experiencing a nervous breakdown when she was stranded by a train company” and that in that case the South Carolina Supreme Court had determined that there was sufficient evidence to conclude that the plaintiff had actually suffered “bodily injury.”

Products Liability Meets Criminal Law

It’s not often that products liability concepts intersect with criminal law. Such was the case in South Carolina last week, when Circuit Judge Roger Young of Charleston, in a 41-page order [PDF], threw out the conviction and granted a new trial to a young man whose defense team “did not appreciate how unlikely the ‘Zoloft defense’ would result in an acquittal.” As a result of that failure, the judge held, the defense team did not seriously pursue negotiations for a plea deal.

The case at issue is one that has drawn national media attention. Christopher Pittman of Chester, South Carolina, was just 12 years old when he reportedly shot his grandparents as they slept in their home, set their house on fire, and fled the scene in their SUV. The nearly three-week murder trial was moved to Charleston County because of the extensive publicity the case had garnered in the Upstate. Pittman was tried as an adult at age 15, was found guilty, and was sentenced to 30 years in the South Carolina Department of Corrections. He lost his appeals to the South Carolina and U.S. Supreme Courts.

For his criminal trial, Pittman’s defense team was reportedly comprised not of criminal defense attorneys, but of “lawyers who specialized in suing pharmaceutical companies.” They blamed the murders on the prescribed anti-depressant Zoloft, saying it clouded Pittman’s sense of right and wrong. Prosecutors argued in response that the premeditated nature of the murders, along with the fact that Pittman subsequently burned his grandparents’ home and thus knew the killings were wrong, discounted the defense’s Zoloft theory. The jury agreed, refusing to buy the defense team’s argument that Zoloft somehow made Pittman commit the murders. According to a 2008 article in The New York Times, Pfizer Inc., the maker of Zoloft, called the case “tragic” but said, “Zoloft didn’t cause his problems, nor did the medication drive him to commit murder.”

In his recent order, Judge Young chastised the defense team’s strategy, noting that the team, led by a civil attorney Andy Vickery, seemed more interested in putting Zoloft on trial than in doing what was best for the defendant. “After Vickery’s team took over the media attention grew exponentially greater,” Judge Young wrote, “in large part because the defense team cultivated it in order to draw attention to the side effects of SSRI (antidepressant) drugs such as Zoloft.”

Interesting, reportedly one year after Pittman’s trial, the FDA began requiring Zoloft and other antidepressants to carry “black box” warnings, the government’s strongest warning short of a total ban, about the increased risk of suicidal behavior in children. It does not, however, extend the warning to include potential homicidal risks.

Obstacles Can Be Good: South Carolina Supreme Court Affirms Trial Court’s Grant of Summary Judgment on Preemption Grounds in Products Case

Obstacles can be good, especially when they represent preemption defenses against state products liability claims. As we reported yesterday, the South Carolina Supreme Court issued a decision that Federal Motor Vehicle Standard 205 preempts a state claim. Standard 205 deals with glass used in vehicles. The lawsuit sprung from an automobile accident in which an occupant of a Ford F-150 was thrown from the cab. The personal representative filed suit, alleging the Ford should have used glass that would not shatter and would “retain occupants inside the vehicle.” Ford argued that Regulation 205 permitted discretion in which glass to use, and, therefore, the state law claim was preempted.

The South Carolina Supreme Court affirmed the trial court’s order granting Ford summary judgment. The legal issue was whether Regulation 205 merely sets a minimum safety floor (no preemption) or permits the manufacturer a range of choice in the production of its vehicles (preemption). Regulation 205 begins as follows:

S1. Scope. This standard specifies requirements for glazing materials for use in motor vehicles and motor vehicle equipment.
S2.Purpose. The purpose of this standard is to reduce injuries resulting from impact to glazing surfaces, to ensure a necessary degree of transparency in motor vehicle windows for driver visibility, and to minimize the possibility of occupants being thrown through the vehicle windows in collisions.

The court noted that Regulation 205 does not specify standards for which glass to use, but instead it references a safety code (ANS Z26) developed by the American National Standards Institute, a nonprofit entity. The code allows two different types of glass: 1) a tempered glass that shatters into dull pieces (safer for restrained occupants) and 2) a laminated glass that does not shatter (safer for unrestrained occupants by decreasing risk of ejection.

Important to the Court’s analysis was the National Highway Traffic Safety Administration’s withdrawal of a proposed rulemaking. The NHTSA contemplated authoring rules in the early 1990s requiring laminated glass to be used for side windows in vehicles. After studying the matter, the NHTSA withdrew its advanced notice of proposed rulemaking, and cited its study that the use of laminated glass increased the chances of injury to restrained occupants. See Notice of Withdrawal, 67 Fed. Reg. 41,365. The Court then examined three recent opinions from the Fifth Circuit, the West Virginia Supreme court, and the Tennessee Court of Appeals examining the potential preemption of Regulation 205. The state court opinions were driven by Geier v. Am. Honda Motor Co., Inc., 529 U.S. 861 (2000), which found that Regulation 208 had preemptive effect. Following the state court decisions, it seems that the NHTSA’s withdrawal was the crucial factor:

In issuing the notice of withdrawal, NHTSA declined to modify Regulation 205 and require advanced glazing. Thus, the notice of withdrawal kept Regulation 205 intact, thereby preserving the manufacturer’s option to use tempered glass on side windows.

Because the federal government authorized that choice, Regulation 205 must preempt a state claim. Note, however, that the Court footnoted the Foreword to ANS Z26, which does not support a finding of preemption, but the Foreword “is not part of” ANS Z26.

The Fifth Circuit decision in O’Hara v. General Motors Corp., 508 F.3d 753 (2007) went the other way. O’Hara reasoned that the NHTSA’s notice of withdrawal did not operate as a rejection of laminate glass in side windows. Moreover, the language of Regulation 208 “strongly supports the conclusion that it expresses a federal policy,” while Regulation 205 did not. Therefore, Regulation 205 was best understood as a minimum safety standard, leaving states free to regulate via tort.

The South Carolina Supreme Court footnoted multiple cases in which courts have dealt with the preemptive effect of Regulation 205. Although it seems both sides have valid arguments, there is the underlying current of rewarding risky behavior in not finding preemption. That is, laminate glass can protect unrestrained occupants from being ejected from a vehicle. Does a court really want to reward a risk-taking plaintiff by denying a defendant the defense of preemption. O’Hara involved the claims of a minor, so perhaps she was a more sympathetic plaintiff. At any rate, be aware of the split of authority, and look for the United States Supreme Court to take a Regulation 205 case on certiorari.

South Carolina Supreme Court Finds Products Liability Claim Preempted by Federal Motor Vehicle Standard 205

This morning, the South Carolina Supreme Court issued an opinion in Priester v. Ford Motor Co., Op. No. 26846 (S.C. August 2, 2010), in which it ruled that a state law products liability claim is preempted by Federal Motor Vehicle Standard 205 (49 C.F.R. § 571.205). After examining the current split of persuasive authority, the Court ruled that the regulation provides a “range of choices among” different types of glass that could be used in a vehicle, rather than a minimum safety standard. Thus, the Supreme Court affirmed the trial court, which had granted Ford’s motion for summary judgment on those grounds. We’ll write up a full analysis of this decision for tomorrow’s post.

Recent $2.375 Million Award in South Carolina Crashworthiness Case

A Florence, South Carolina jury recently awarded $2.375 million in actual damages to a girl, now 11, who suffered burns to 15% to 20% of her body when the fuel tank of her family’s Nissan Xterra caught fire following a collision. The highest pre-trial settlement offer reportedly was $450,000. Courtney v. Nissan Motor Co., Ltd., Civil Action No. 2007-CP-21-1449, in the Florence County, South Carolina Court of Common Pleas.

According to South Carolina Lawyers Weekly (see coverage here), the girl, 9 years old at the time of injury, was riding with her family as a passenger in the vehicle outside of their church near Lake City, South Carolina, when they were involved in a collision with a pickup truck. Church members and emergency personnel were able to help remove the family from the vehicle reportedly within seconds of impact, but the child suffered the burns, including facial burns, from her position in the seat just above the fuel tank.

The plaintiff set forth causes of action for strict liability and breach of warranty, arguing that Nissan failed to ensure the crashworthiness of the vehicle because a small metal bracket was likely to puncture the fuel tank in the event of a side collision. The plaintiff reportedly utilized experts from Texas, Utah, California and Japan, among others, to testify to such issues as the alleged foreseeability of the bracket’s puncturing of the fuel tank. Nissan, in turn, argued that the tank rupture was due to the severe and unique circumstances of the collision, which had placed extreme, concentrated energy at the location of the bracket.

The jury apparently was able to overlook two important challenges to the plaintiff’s case: (1) the SUV had complied with all federal standards; and (2) it was the driver of the Nissan Xterra who admittedly was at fault in causing the accident. The plaintiff’s position, according to her attorney, was that if the vehicle had been built according to European standards rather than U.S. standards, whereby the bracket would have been placed no closer than 100 millimeters from the fuel tank, then the fire would not have occurred.

In any event, the jury ultimately sided with the plaintiff, finding the case warranted actual damages without the imposition of a punitive award.

Unattended Candles

To foresee or not to foresee, that is the question. Well, at least its the question when you are arguing for summary judgment on the basis of the plaintiff’s failure to produce evidence on the issue of proximate cause. In a recent unpublished decision by the United States Court of Appeals for the Fourth Circuit, the court reviewed the seemingly symbiotic relationship between the proximate cause element in a negligence action and the requirement that the injury be a foreseeable consequence from an act or an omission. Graham v. Progress Energy, Inc., No. 08-1906 (4th Cir. June 25, 2010) (unpublished) [PDF].

In Graham, the court was reviewing the district court’s grant of summary judgment in favor of the defendants. The case arose out of an incident in which the plaintiffs’ home caught on fire. The fire started after the plaintiffs began using candles as a source of light. The reason that they had to use candles was that they failed to pay their electric bill and thus the power to their home was disconnected. On the date that the fire occurred, the plaintiffs had fallen asleep before extinguishing their candles. The plaintiffs sued Progress Energy on a negligence based claim.

The court framed the narrow issue as being “whether a reasonable jury could conclude that Progress’s alleged negligent conduct proximately caused the Grahams’ alleged harm.” The defendants did not dispute causation-in-fact. They admitted that it was foreseeable for the plaintiffs to use candles to illuminate their home. However, Progress Energy contended that the plaintiffs actions (i.e., falling asleep before extinguishing the candles) was an intervening cause that broke the chain of causation. Furthermore, the defendants claimed that while using candles to illuminate their home may have been foreseeable, …”going to sleep with the candles lit or otherwise failing to attend to the candle so as to prevent them from falling was certainly by no means so.”

The court opined that the defendants’ argument “misconstrues the relevant inquiry because South Carolina law does not require that particular events be foreseeable.” The court went on to reason that only the general harm and general intervening cause need to have been foreseeable. The court found that since candle use was foreseeable, a reasonable jury could have concluded that some amount of candle misuse was also foreseeable. Finally, the court pointed to evidence within the record that supported the conclusion that the plaintiffs’ alleged harm was also foreseeable. As such, the court reversed the grant of summary judgment.

The court’s analysis, albeit sound, leaves the ordinary practitioner wondering what is the true meaning of an intervening cause. The answer is found in the procedural posture of this case – this appeal involved the review of a summary judgment order. Perhaps on remand, the once (and future?) fixture of the American judicial system will resolve this issue. Of course, I’m referring to the jury trial. For all of you out there, who like me, have only been practicing law within the last decade, allow me to explain. A jury is the fact finder that resolves factual disputes during a trial. We’ll discuss the term “trial” during our next lesson. As for our weary candle users, one thing we can be sure of– it is foreseeable that the jury will have to determine issues like comparative and contributory negligence before these plaintiffs will be permitted to recover for leaving the light, I mean candle, on.

Live From Litchfield Beach, South Carolina

I was on vacation last week. My family and I visited one of the most sacred of all family vacation spots – the beach! Our family goes to Litchfield Beach every year the week of Memorial Day. Litchfield is a quaint little beach, found just north of Pawleys Island and just south of Murrells Inlet, the seafood capital of South Carolina. As I sat there during my vacation at the beach, I couldn’t help but think of all of the products liability cases waiting to happen.

First, I considered all of the sunscreen manufacturers out there that need representation. Seriously, think of all of the times that people have put on sunscreen that is too old and have gotten scorched as a result. Surely, those people checked the expiration date on their Bullfrog or Zinka before they went out onto the beach. Right? Manufacturers of these wonderful products that allow us all to enjoy the beach and to engage in swimming, fishing and sunbathing should not have to worry about the frivolous lawsuits that some cheapskate 30-something year old guy brings when his SPF 30 doesn’t work (Not that I have experienced such an event).
Second, as an avid fisherman I dwelled upon the weary travelers that prick their thumbs with the hooks on their terminal tackle when trying to place a dead mullet on the end of their line. Or what about the nimrod that takes his graphite TICA 9′ rod out to fish the surf during a thunderstorm? I’ve seen the warning on the rod and I think its adequate, but I would venture to guess that there are plenty of plaintiffs out there who think otherwise. For all of the surf rod manufacturers reading this, I will work for fishing gear, but my boss might ask for an hourly fee!
Finally, I thought about all of the air conditioner defect cases that are filed in counties all along the coast. While we were in our own little slice of heaven, our air conditioner went out. The repairman that answered our “after hours” call at 9 p.m. on Sunday night told me that he had fielded 27 calls in 48 hours! I also learned that despite the fact that the unit on our rental was less than two years old, the compressor was “shot.” According to the repairman, “none of these last more than 6 years on this side of the highway.” Apparently, if your home is located on the non-ocean side of the highway you can expect 10 to 15 years out of the same unit that only gets 6 on the ocean side. After talking to the repairman I couldn’t help but to think about two things: (1) all of the home owners filing warranty claims; and (2) all of the renters demanding reimbursement for rental fees for having to “sleep” in 86 degree heat.
In conclusion, I left my hammock behind with a pensive look upon my face and deep in thought. Last week it occurred to me that my vacation closely resembled that of Jack Chester in 1985. John Candy played Chester in one of my favorite movies from the 1980’s, Summer Rental. I am wondering if the manufacturer of that plastic air cast is still around? My foot still hurts after a week’s worth of particularly spirited games of Bocce!

South Carolina Supreme Court Brings Down the Hammer on Discovery Abuse

Last week, the South Carolina Supreme Court indicated that it would no longer tolerate impermissible fishing expeditions during the discovery process. In so doing, the court took the extraordinary measure of granting a writ of certiorari to review an administrative law court’s discovery orders and then vacating those orders and remanding the case back to that court. See Oncology & Hematology Assocs. of S.C., LLC v. South Carolina Dep’t of Health & Envtl. Control, — S.E.2d —-, No. 26814., 2010 WL 1756850 (S.C. May 3, 2010). The court described the case as between two “fiercely competitive healthcare providers” involved in a dispute over the “vying for cancer patients in Greer, South Carolina.” The specific facts of the dispute are irrelevant to the cautionary point offered by the case: be careful what you ask for in discovery.

This is a case with which litigators should be familiar. At issue in the opinion were the discovery requests sent by Spartanburg Regional Healthcare System (“SRHS”) to Oncology and Hematology Associates of South Carolina, d/b/a Cancer Centers of the Carolinas (“CCC”), several of which the court quoted in their entirety in the opinion. The central issue in the case, as noted by the Court, was “whether the 2004-2005 South Carolina Health Plan standards applied to the relocation of SRHS’s linear accelerator.” That was a relatively narrow issue, though the discovery requests at issue were quite broad. Indeed, the specific proceeding arose after SRHS submitted a Certificate of Need application to the South Carolina Department of Health and Environmental Control to relocate the linear accelerator from one facility to another. That request was granted by the governmental authorities, but CCC sought a contested case hearing before an administrative judge on the issue. Ultimately, the Court concluded that SRHS “took a shotgun approach and sought virtually all information concerning every facet of CCC’s operation.”

Nothing good can follow that statement if it was your discovery at issue.

Pausing to quote the rules, and expound upon its scope, the Court observed:

We are keenly aware that the scope of discovery is broad. Rule 26(b)(1), SCRCP, provides:

Parties may obtain discovery regarding any matter, not privileged, which is relevant to the subject matter involved in the pending action . . . [and] [i]t is not ground for objection that the information sought will be inadmissible at the trial if the information sought appears reasonably calculated to lead to the discovery of admissible evidence.

Yet, there are limits, which we see trial courts generally unwilling to recognize and enforce. SRHS’s discovery requests of CCC and its business partners are abusive and beyond the pale.

Our willingness to review a discovery order by way of a writ of certiorari will be as rare as the proverbial “hen’s tooth.” We have no desire to micromanage discovery orders. It is our hope that in resolving this matter, we will speak to trial courts generally. While discovery serves as an important tool in the truth-seeking function of our legal system, we are concerned that “discovery practice” has become a cottage industry and the merits of a claim are being relegated to a secondary status.

In finding that SRHS had abused the discovery rules, the Court further noted:

SRHS’s discovery requests are not remotely relevant to a resolution of the issue concerning the relocation of the linear accelerator. A challenge to relocation of the linear accelerator does not entitle SRHS to the information it seeks from CCC and affiliated entities. SRHS abused the discovery process with its scorched-earth approach.

We decline to rewrite and narrowly tailor SRHS’s oppressive discovery requests so as to make them proper. That would reward improper conduct. Where, as here, a party abuses discovery, the proper remedy is to vacate the requests and require the party to start over. As a result, we vacate the five discovery orders before us.

Ouch.

If you file motions to compel in South Carolina, or elsewhere, you will likely see the case cited in any responses to your motions. (This opinion could be persuasive authority elsewhere, and in fact, the Court itself invoked a 2003 Texas Supreme Court opinion in support of its conclusion.). If you respond to many such motions, it’s time to update your form response.

Smoke and Mirrors?

Oftentimes, litigants find themselves in discovery battles in which one party simply refuses to produce documents to the other. In cases involving products, most defendants are unwilling to produce documents to a plaintiff that is on a fishing expedition. Some documents contain vital company secrets, engineering specifications or e-mails that the writer wishes were never sent. In these circumstances, the question of whether to produce or not produce turns upon whether an actual privilege attaches to the document in question. Many times, a party will assert each and every privilege or protection imaginable with the hope of creating enough smoke and mirrors to make the other party give up on obtaining the requested documents. In a very recent case handed down just this past Monday, the South Carolina Supreme Court opined that the South Carolina Attorney General’s assertion of the attorney-client privilege may apply to certain documents that were requested by a tobacco company.

In Tobaccoville USA, Inc., v. McMaster, No. 26799, 2010 WL 1439108 (S.C. April 12, 2010) the South Carolina Supreme Court heard a certified appeal in which the attorney general was in a discovery dispute with a tobacco company. The dispute stemmed from the attorney general’s assertion that various privileges applied to Tobaccoville’s request for documents. The actual documents themselves were not identified in the opinion. However, based upon the references to the Master Settlement Agreement (MSA), one can reasonably conclude that Tobaccoville was seeking disclosure of documents relating to either the MSA itself or documents relating to the underlying litigation that was resolved by the MSA. In 1998, South Carolina, like many other states, entered into the MSA with the tobacco companies to settle litigation brought by the states to recover health care expenses that were allegedly related to tobacco use.

The court reviewed the various privileges and doctrines asserted by the attorney general including the attorney-client privilege, the attorney work product doctrine, the deliberative process privilege, and the common interest doctrine. The court disagreed with the administrative law judge’s determination that the attorney-client privilege did not apply to this particular situation. The administrative law court found that the privilege did not apply since neither the National Association of Attorneys General (NAAG) nor the other states’ attorney generals were retained as counsel. Based on this determination the administrative law court reasoned that there could not be an attorney-client relationship upon which to base the privilege. However, the supreme court reasoned that since the attorney general is a paid member of NAAG and that NAAG staff attorneys are available to provide legal advice concerning the MSA and tobacco regulation and enforcement, the privilege may apply to the documents in question.

The supreme court remanded the case to the administrative law court for a determination of whether the alleged privileged documents are indeed confidential communications pertaining to the underlying litigation. The court also relied upon a Southern District of New York case for the proposition that the similar documents between an attorney general and the NAAG were protected by the attorney-client privilege. See Grand River Enterprise Six Nations, Ltd. v. Pryor, No. 02 Civ. 5069(JFK)(DFE), 2008 WL 1826490 (Apr. 18, 2008 S.D.N.Y.). Coincidentally, or maybe not so coincidentally, Grand River is the same manufacturer of cigarettes at issue in Tobaccoville USA, Inc. v. McMaster. It appears that the administrative law judge will now have to perform an in camera inspection of the documents to determine whether the attorney-client privilege actually applies to the disputed documents.

He or she will be further assisted by the supreme court’s direction that the attorney work product doctrine does not apply to this situation and that South Carolina has declined to adopt the deliberative process privilege. As such, whether the attorney general’s assertions of privilege to the documents actually apply will now by thoroughly examined by the administrative law court.

Contact Lens Solution MDL Matter Partially Resolved for Lack of Expert Testimony

In a recent Multidistrict Litigation products liability matter pending in South Carolina, Chief Judge David C. Norton of the U.S. District Court for the District of South Carolina found in favor of manufacturer, Bausch & Lomb Inc., on a motion for summary judgment as a result of Plaintiffs’ failure to provide sufficient expert testimony. In re Bausch & Lomb Inc. Contacts Lens Solution Prods. Liab. Litig., C/A No. 2:06-MN-77777, MDL No. 1785, 2010 WL 597184 (D.S.C. Feb. 17, 2010).

On April 13, 2006, ReNu with MoistureLoc contact lens solution, manufactured by Bausch & Lomb in its Greenville, South Carolina facility, was voluntarily withdrawn from the market in the United States when an increased number of consumers who used MoistureLoc began to develop Fusarium keratitis. On May 11, 2006, Bausch & Lomb met with the Federal Drug Administration and announced that they decided to remove the product from the market worldwide.

Subsequent to this recall, a number of individual personal injury cases emerged around the country asserting they were injured as a result of the use of MoistureLoc. These actions were consolidated into this Mulitdistrict Litigation proceeding and each Plaintiff had to submit a fact sheet and medical documentation demonstrating use of MoistureLoc and the type of eye infection that resulted. As of the date of Bausch & Lomb’s motion for summary judgment, “348 Plaintiffs had not submitted any documentation showing that they experienced a Fusarium keratisis infection.” Judge Norton’s order concerns these “non-Fusarium Plaintiffs.”

In May 2009, Baush & Lomb moved to exclude the testimony of Plaintiffs’ expert, Dr. Elisabeth Cohen, with respect to non-Fusarium infections. As reported by the Drug and Device Law blog on August 27, 2009, Judge Norton, along with Judge Shirley Werner Kornreich of the Supreme Court of the State of New York, granted Baush & Lomb’s motion to exclude “Dr. Cohen’s general causation opinions relating to non-Fasarium infections.”

Following this ruling, Baush & Lomb moved for summary judgment on all claims and causes of action asserted by non-Fusarium Plaintiffs. Notwithstanding five individual cases that remain under advisement for various reasons, the U.S. District Court for the District of South Carolina granted Baush & Lomb’s motion for failure to prove causation. The Court explained that “[t]o establish medical causation in a product liability case, a plaintiff must show both general causation and specific causation[,]” meaning that Plaintiffs must show that the “substance [at issue] is capable of causing a particular injury” and that the “substance caused a particular individual’s injury.” Proof of general causation was a precursor to proving specific causation. The Court determined that this was the applicable rule is all jurisdictions, including Puerto Rico where some Plaintiffs resided.

The Court concluded that since Plaintiffs’ general causation expert, Dr. Cohen, was excluded, Plaintiffs could not prove general causation, and thus, could not prove the essential causation element of any products liability action. Further, the Court disagreed with Plaintiffs’ assertion that they could prove causation through Physicians’ differential diagnoses. This is a “technique of identifying the cause of a medical problem by eliminating the likely causes until the most probable one is isolated.” Judge Norton stated that Plaintiffs could not rely on this technique to “end-run” the general causation requirement.

All defense practitioners should be aware, for future use, of Judge Norton’s holdings requiring both general and specific causation and not allowing the use of the differential diagnoses technique to prove general causation.

Since Judge Norton’s ruling on February 17, 2010, two individual non-Fusarium Plaintiffs have filed motions to alter or amend the judgment pursuant to Rule 59(e) of the Federal Rules of Civil Procedure, Baush & Lomb has filed a response to one Plaintiff’s motion, and Baush & Lomb has filed a motion for summary judgement as to all other non-Fusarium Plaintiffs that were inadvertently not included in the February 2010 order. Therefore, be on the lookout for further rulings on the non-Fusarium Plaintiffs in addition to resolution of those claims by Fusarium

Plaintiffs, which Drug and Device Law blog reported in August may be resolving out of court.